1. USING THE QUADRICEPS TENDON WITH AND WITHOUT PATELLAR BONE PLUG:
ACL RECONSTRUCTION
USING THE QUADRICEPS TENDON
WITH AND WITHOUT PATELLAR BONE PLUG:
COMPARISON OF THE RESULTS
E. ANTONOGIANNAKIS,C.K.YIANNAKOPOULOS,
K. KARLIAFTIS, G. BABALIS,C. KARAMBALIS,
A. ILIADIS,G. GIALAS,P. EFSTATHIOU
2nd Orthopaedic Department
401 General Army Hospital
Athens, Greece

2. INTRODUCTION
The middle third of quadriceps tendon is an autograft of sufficient size and strength
stronger than PT of same dimensions
It can be fixed to the femur and the tibia using multiple techniques.
We are presenting the results of arthroscopic ACL reconstruction using Quadriceps tendon autograft with and without patellar bone plug.

3. PATIENTS - METHODS
Time period: March December 2000
Patients: ( Groups A & B)
Reason for reconstruction: chronic ACL deficiency
Procedure: Arthroscopic ACL reconstruction
Gender: male
Age: years

4. PATIENTS - METHODS Group A Patients: 13
Type of graft: middle third of Q-tendon without patellar bone plug
Type of fixation: special soft tissue fixation device (Mark II, Surgicraft,UK)
Femur : over-the-top & bollard cortical fixation
Tibia : tunnel & bollard cortical fixation

5. PATIENTS - METHODS Group B Patients: 14
Type of graft: middle third of Q tendon with patellar bone plug
Type of fixation: special soft tissue fixation device (Patella Soffix, Surgicraft,UK)
Femur : over-the-top & bollard cortical fixation
Tibia : tunnel & bollard cortical fixation

6. EVALUATION
Mean follow-up: months
Rating scales: IKDC
Lysholm-Tegner
Knee laxity evaluation: Rolimeter

7. There was no significant difference between the two fixation methods
RESULTS
There was no significant difference between the two fixation methods

8. RESULTS
MRI evaluation and second look arthroscopies in 7 patients revealed graft survival

9. CONCLUSION Usage of the middle third of Q tendon
with or without patellar bone plug
in ACL reconstruction yields similar results
regarding stability and function
combining low rate of complications
and minimal donor site morbidity

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